Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.32 / $418.23 / $3,145.00	Facility		$183.32	$418.23	$3,145.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.96 / $51.52 / $116.67	Facility	26	$47.96	$51.52	$116.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.53 / $211.81 / $258.77	Professional		$125.53	$211.81	$258.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.58 / $58.17 / $83.10	Professional	26	$37.58	$58.17	$83.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.14 / $155.63 / $188.42	Professional	TC	$94.14	$155.63	$188.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.06 / $117.06 / $119.18	Professional		$117.06	$117.06	$119.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.65 / $48.79 / $59.63	Professional	26	$42.65	$48.79	$59.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.32 / $297.00 / $477.53	Facility		$149.32	$297.00	$477.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.13 / $160.15 / $280.68	Professional		$136.13	$160.15	$280.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.43 / $48.74 / $78.59	Professional	26	$41.43	$48.74	$78.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.70 / $111.41 / $205.18	Professional	TC	$94.70	$111.41	$205.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $127.33 / $127.33 / $136.08	Facility		$127.33	$127.33	$136.08
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $38.31 / $56.27 / $56.27	Professional	26	$38.31	$56.27	$56.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.68 / $169.72 / $286.10	Professional		$117.68	$169.72	$286.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.14 / $50.01 / $85.40	Professional	26	$36.14	$50.01	$85.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.64 / $116.05 / $211.11	Professional	TC	$77.64	$116.05	$211.11
United Facility/Professional Professional Modifier Low / Median / High Price $135.79 / $190.89 / $314.60	Professional		$135.79	$190.89	$314.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.46 / $51.11 / $88.64	Professional	26	$36.46	$51.11	$88.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.04 / $134.72 / $219.00	Professional	TC	$100.04	$134.72	$219.00